Acute Effects of Posterior Talar Glide Mobilization

NCT07493083 | Not Yet Recruiting DMC

• 1 other identifier: 2026/044
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this study is to evaluate the acute effects of posterior talar glide mobilisation on dorsiflexion range of motion wieght bearing (measured using the Weight-Bearing Lunge Test) and walking speed, using a randomised, sham-controlled study design.

Conditions

Ankle Dorsiflexion; Mobilization; Walking Speed, Mesh id D000072797; Range of Motion

Keywords

ankle mobility; talar mobilization; range of motion; walking speed

Outcome Measures

Primary Outcomes (2)

• Weight Bearing Lunge Testi

  The WBLT is a valid and reliable clinical measurement method widely used to identify dorsiflexion restrictions, particularly in individuals with chronic ankle instability, and to monitor changes occurring during the rehabilitation process. Its concurrent validity has been demonstrated in the literature using both angular and distance-based measurement methods. During measurement, the maximum lunge distance between the big toe and the wall will be recorded in centimetres using a standard tape measure fixed to the floor. Participants will undergo bilateral assessment during the test. Participants will be asked to touch the wall with their knees without lifting their heels off the ground. A vertical reference line on the floor will be used to minimise subtalar joint compensation and ensure measurement standardisation. The contralateral limb will be positioned comfortably behind the tested limb, and participants will be permitted to place their hands on the wall for balance.

  through of the study, average 1 day

• 10-meter walk test

  The test is a valid and reliable assessment method widely used in clinical and research settings to measure an individual's walking speed over a short distance. The test will be conducted on a flat, non-slip surface. The total walking distance will be set at 14 metres; the first 2 metres will be designated as an acceleration zone, the final 2 metres as a deceleration zone, and the middle 10-metre section as the measurement zone. Participants will be asked to walk the specified distance at a natural walking speed that feels comfortable to them. The measurement will be taken by recording the time elapsed from the moment the participant enters the central 10-metre section until the moment they exit it, using a stopwatch to record the time in seconds. The test will be repeated three times, and the average of the measurements will be used in the analysis.

  through of the study, average 1 day

Study Arms (2)

Mobilization Group

EXPERIMENTAL

Movement Combined with Weight-Shifting Mobilisation: A non-elastic band is secured between the patient's distal leg and the therapist's waist. Mobilisation begins with the patient standing in a comfortable upright position. The therapist applies a continuous posteroanterior gliding force to the tibia via the band by shifting their weight backwards. This technique functionally mimics the posterior glide mechanism of the talus. The participant is asked to perform a slow dorsiflexion to the end of the range of motion. During this, the therapist maintains the posterior glide stimulus on the talus. Once the end point is reached, the glide force is maintained for 10 seconds. One set of 10 repetitions of mobilisation is performed. \- Movement Combined with Mobilisation Without Weight-bearing The ankle is stabilised using a non-elastic band, and the therapist applies a posterior glide to the talus. During the posterior glide, the foot is supported by the forearm or leg.

Other: Posterior Talar Glide Mobilization

Sham Group

SHAM COMPARATOR

Both mobilisation techniques and positions were explained to the participants; however, although the therapist positioned the ankle in the glide position, no sliding movement was performed, and the ankle was held in that position for 10 seconds. Posterior talar glide mobilisation and dorsiflexion measurements were performed on both the affected and unaffected ankles. All measurements will be repeated three times-once before and three times after treatment-and the average values will be recorded.

Other: Sham Group

Interventions

Posterior Talar Glide Mobilization OTHER

Movement Combined with Weight-Shifting Mobilisation The therapist applies a continuous posteroanterior gliding force to the tibia via the strap by shifting their weight backwards. This technique functionally mimics the posterior gliding mechanism of the talus. The patient is asked to perform a slow dorsiflexion to the end of their range of motion. During this, the therapist maintains the posterior gliding force on the talus. Once the end point is reached, the gliding force is maintained for 10 seconds. One set of 10 repetitions of mobilisation is performed. \- Movement Combined with Mobilisation Without Weight Shifting The participant lies supine with the tibia in contact with the treatment table, whilst the foot and ankle are left free at the edge of the table. The ankle is stabilised with a non-elastic band, and the therapist applies posterior glide to the talus.

Mobilization Group

Sham Group OTHER

Both mobilisation techniques and positions were explained to the participants; however, although the therapist assumed the glide position, no sliding movement was performed, and the participants were held in that position for 10 seconds. Posterior talar glide mobilisation and dorsiflexion measurements were performed on both the affected and unaffected ankles. All measurements will be repeated three times each-before and after treatment-and the average values will be recorded.

Sham Group

Eligibility Criteria

• Age: 18 Years - 45 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Participants aged between 18 and 45,
• Participants who have agreed to take part in the study on a voluntary basis,
• Participants with no history of lower limb surgery

You may not qualify if:

• Those with acute ankle pain or inflammation,
• Those with ankle instability,
• Those with a history of lower limb surgery within the last 6 months,
• Those with balance or vestibular disorders,
• Those with chronic conditions,

Sponsors & Collaborators

• Hasan Kalyoncu University: lead

Study Sites (1)

Hasan Kalyoncu University

Gaziantep, Şahinbey, 27000, Turkey (Türkiye)

Location

Related Publications (5)

• Hall EA, Docherty CL. Validity of clinical outcome measures to evaluate ankle range of motion during the weight-bearing lunge test. J Sci Med Sport. 2017 Jul;20(7):618-621. doi: 10.1016/j.jsams.2016.11.001. Epub 2016 Nov 23.

  PMID: 28108266 RESULT

• Saito Y, Nakamura S, Tanaka A, Watanabe R, Narimatsu H, Chung UI. Evaluation of the validity and reliability of the 10-meter walk test using a smartphone application among Japanese older adults. Front Sports Act Living. 2022 Oct 4;4:904924. doi: 10.3389/fspor.2022.904924. eCollection 2022.

  PMID: 36267485 RESULT

• Bennell KL, Talbot RC, Wajswelner H, Techovanich W, Kelly DH, Hall AJ. Intra-rater and inter-rater reliability of a weight-bearing lunge measure of ankle dorsiflexion. Aust J Physiother. 1998;44(3):175-180. doi: 10.1016/s0004-9514(14)60377-9.

  PMID: 11676731 RESULT

• Chisholm MD, Birmingham TB, Brown J, Macdermid J, Chesworth BM. Reliability and validity of a weight-bearing measure of ankle dorsiflexion range of motion. Physiother Can. 2012 Fall;64(4):347-55. doi: 10.3138/ptc.2011-41.

  PMID: 23997389 RESULT

• Vicenzino B, Branjerdporn M, Teys P, Jordan K. Initial changes in posterior talar glide and dorsiflexion of the ankle after mobilization with movement in individuals with recurrent ankle sprain. J Orthop Sports Phys Ther. 2006 Jul;36(7):464-71. doi: 10.2519/jospt.2006.2265.

  PMID: 16881463 RESULT

Study Officials

• Tuğba GÖNEN, Asisst. Prof. Dr.

  Hasan Kalyoncu University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Tuğba GÖNEN, Asisst. Prof. Dr.

CONTACT

505 090 58 46; tugba.badat@hku.edu.tr

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Asisst. Prof. Dr.

Model Details: In this study, which will examine the acute effects of posterior talar glide mobilisation, participants will be randomly assigned to two groups. A simple random sampling method will be used. Participants' names will be written on sealed envelopes and assigned to groups via a lottery system. One group will be the Intervention group, whilst the other will be the Sham group. Participants in both groups will be assessed twice: at baseline and at the end of the intervention.

Study Record Dates

• First Submitted: March 19, 2026
• First Posted: March 25, 2026
• Study Start: March 30, 2026
• Primary Completion: April 30, 2026
• Study Completion: May 30, 2026
• Last Updated: March 25, 2026

Record last verified: 2026-03

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)